Top 259 Claims Jobs in Salinas, Ca

Workers' Compensation Claims Examiner
JT2 Integrated Resources —California
- From $90,000 a year
- Full-time
- Mid-level
- 3 years
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
HR Specialist
Robert Half —Marina, CA
- $30 - $32 an hour
- Temporary
- HIPAA
- Mid-level
- Office
- Disability insurance
- Dental insurance
Quick Apply
HUMAN RESOURCES ADMINISTRATIVE ASSISTANT
Housing Authority of the County of Monterey —Salinas, CA
- $70,304.00 - $93,515.76 a year
- Full-time
- Research
- Mid-level
- Office
Quick Apply
Insurance Clerk (Temporary, On-Site - Salinas, CA)
Salinas Valley Health —Salinas, CA
- From $29.47 an hour
- Full-time
- High school
- Office
- High school diploma or GED
Inventory Auditor
Costco Wholesale Corporation —Salinas, CA
- Research
- Mid-level
- Driving
- AD&D insurance
- Employee stock purchase plan
Accounts Receivable Analyst
Deloitte —Monterey, CA
- $70,000 - $90,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
4d
Pharmacy Technician Non-Certified
Costco Wholesale Corporation —Salinas, CA
- Merchandising
- Driving
- US work authorization
- AD&D insurance
- Employee stock purchase plan
Acquisition Specialist - State Farm Agent Team Member
Rey Zagal - State Farm Agent —Salinas, CA
- $52,000 - $85,000 a year
- Part-time
- Office
- Business development
- Communication skills
- 401(k)
- Opportunities for advancement
Quick Apply
13d
Hospital Billing Operator
Deloitte —Monterey, CA
- $70,000 - $90,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
Finance Manager
Alliance on Aging —Salinas, CA
- $120,000 - $150,000 a year
- Email
- CPA
- Customer service
- Office
- Health savings account
- Health insurance
Quick Apply
Workers' Compensation Defense Attorneys
Employer Defense Group, LLP —California
- $100,000 - $250,000 a year
- Full-time
- Remote
- Mid-level
- 3 years
- Travel
- Health savings account
- AD&D insurance
Quick Apply
Quality Control Manager
Quincon, Inc. —Monterey, CA
- $80,000 - $120,000 a year
- 8 hour shift
- Microsoft Excel
- Microsoft Outlook
- Construction site
- Health insurance
- 401(k)
Quick Apply
Remote Mental Health Provider (LMFT)
Telemynd —California
- $100,000 - $150,000 a year
- Choose your own hours
- Remote
- LMFT
- Licensed Clinical Social Worker
- LPC
- Dental insurance
- Vision insurance
Quick Apply
Remote Clinical Social Worker (LMFT, LCSW, LPC, LPCC)
Telemynd —California
- From $70 an hour
- Choose your own hours
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Flexible schedule
Quick Apply
Part-time Therapist
Telemynd —California
- From $70 an hour
- Choose your own hours
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Flexible schedule
Quick Apply
Remote Therapist (LMFT, LCSW, LPCC)
Telemynd —California
- From $70 an hour
- Choose your own hours
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Flexible schedule
Quick Apply
Remote Therapist (LMFT, LCSW, LPCC)
Telemynd —California
- From $70 an hour
- Choose your own hours
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Flexible schedule
Quick Apply
Licensed Marriage and Family Therapist
Telemynd —California
- From $70 an hour
- Choose your own hours
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Flexible schedule
Quick Apply
California Licensed Mental Health Clinician
Insight Counseling of LA —California
- $70 - $106 an hour
- Choose your own hours
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Work from home
- Flexible schedule
Quick Apply
Supervisor - Hotel Valets
Propark Mobility —Monterey, CA
- $25 an hour
- Weekends as needed
- Mid-level
- Hotel
- US work authorization
- Free parking
- Commuter assistance

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Workers' Compensation Claims Examiner

JT2 Integrated Resources -
California

Quick Apply

Job Details

Full-time
From $90,000 a year

Benefits

Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Vision insurance

Qualifications

Customer communication
Caseload management

Full Job Description

Claims Examiner - Workers Compensation, JT2 Integrated Resources

JT2 has over two decades of experience in claims administration and has delivered consistent cost savings to clients while providing quality care to claimants. We partner with our clients to provide fully customized and innovative solutions that integrate claims administration with risk control solutions.

We are searching for a highly motivated Claims Examiner to join our team! Under supervision of the Claims Supervisor, the Claims Examiner will manage claims from inception to conclusion. The position requires an individual that adheres to best practices and State of California statutes to work directly with clients, injured workers, agents, vendors, and attorneys to resolve workers compensation claims.

Minimum Requirements

Three (3) years of claims management experience
Bachelor's degree from an accredited college or university preferred.
Possession of a current Self-Insurance Plan (SIP) Certificate and insurance-related course work: CPCU, WCCA, WCCP, ARM.
Must be able to administer any type of indemnity claim within the assigned caseload including those involving lost time, those likely to involve permanent disability residuals, and future medical claims.

Duties and Responsibilities

Ensure proper handling of claims from inception to conclusion per client service agreements and JT2 service standards.
Prepare accurate and timely issuance of benefits notices and required reports within statutory limits.
Reserve files in compliance with injury type, identify potential costs of medical care investigation and indemnity benefits.
Ensure timely payment of benefits, bills and appropriate caseload and performance goals.
Negotiate and prepare claims for settlement, provide manager/supervisor with complete and accurate settlement data.
Monitor, report, and assign claims for fraud potential and subrogation possibilities.
Monitor claims for pre-established criteria for case-management and vocational rehabilitation in accordance with State laws.
Prepare and present claims summaries to clients during file reviews.
Train and direct Claims Assistants to meet goals and deadlines.
Review and approve priority payments and other documents from Claims Assistants.
Performs other duties as assigned.

Knowledge, Skills, and Abilities

Strong knowledge of workers" compensation policy, concepts and terminology and benefit provisions.
Strong knowledge of adjusting workers" compensation claims for municipalities and administering LC 4850 benefits.
Strong skills with use of general office administration technology, including Microsoft Office Suite and related software.
Excellent verbal and written communication skills.
Excellent interpersonal and conflict resolution skills.
Excellent organizational skills and attention to detail.
Excellent interpersonal, negotiation, and conflict resolution skills.
Strong analytical and problem-solving skills.
Ability to act with integrity, professionalism, and confidentiality, at all times.
Remote work is acceptable.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.

JT2 Integrated Resources provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Job Type: Full-time

Pay: From $90,000.00 per year

Benefits:

401(k)
Dental insurance
Flexible spending account
Health insurance
Paid time off
Vision insurance

Work Location: Remote

Quick Apply

Refine Your Search

claims jobs in salinas, ca

Workers' Compensation Claims Examiner

HR Specialist

HUMAN RESOURCES ADMINISTRATIVE ASSISTANT

Insurance Clerk (Temporary, On-Site - Salinas, CA)

Inventory Auditor

Accounts Receivable Analyst

Pharmacy Technician Non-Certified

Acquisition Specialist - State Farm Agent Team Member

Hospital Billing Operator

Finance Manager

Workers' Compensation Defense Attorneys

Quality Control Manager

Remote Mental Health Provider (LMFT)

Remote Clinical Social Worker (LMFT, LCSW, LPC, LPCC)

Part-time Therapist

Remote Therapist (LMFT, LCSW, LPCC)

Remote Therapist (LMFT, LCSW, LPCC)

Licensed Marriage and Family Therapist

California Licensed Mental Health Clinician

Supervisor - Hotel Valets

I want to receive the latest job alert for claims in salinas, ca

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